On chloroform and other anæsthetics: their action and administrationSnow, John
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On chloroform and other anæsthetics: their action and administration
Snow, John
Anesthetics; Chloroform; Snow, John, 1813-1858
The only article that can be mixed with chloroform without altering its
appearance and smell is alcohol. This can be detected by the reduction
it occasions in the specific gravity of the chloroform; or, if it be
present in any considerable quantity, it may be discovered by adding
water to a little of the chloroform in a graduated tube or measure, when
a diminution of its volume takes place, owing to the water abstracting
the alcohol. The chloroform also acquires a milky opacity under these
circumstances. M. Miahle[47] speaks of the milky opacity of the
chloroform on the addition of water as a very delicate test of the
presence of alcohol; but I find that it requires upwards of two per
cent. of alcohol to cause this appearance on the addition of water.
It has been asserted, and often repeated, that the presence of alcohol
in chloroform causes it to have caustic properties, and makes its vapour
unusually irritating. I have never seen any evidence of this, although I
have had hundreds of opportunities of witnessing the action of
chloroform mixed with spirit. Under certain circumstances, it is
advisable to dilute chloroform with alcohol previous to its
administration, as will be explained hereafter.
The chloroform I have met with in London has always been sufficiently
pure for inhalation, except in a few cases where a small quantity had
become decomposed, probably from having been left a long time exposed to
strong daylight. In these instances, its altered appearance generally
prevented its being used. I am not aware of serious consequences having
arisen anywhere from the impurity or adulteration of chloroform. A case
occurred in the London Hospital, where cough and a feeling of
suffocation were caused by hydrochloric acid with which the chloroform
was contaminated, but the inhalation was discontinued, and no ill
consequences resulted.[48]
Chloroform should be kept in well-stoppered bottles, and protected from
the light. It boils at 140 Fah. under the ordinary pressure of the
atmosphere. It is consequently one of the most volatile liquids employed
in medicine, with the exception of sulphuric ether and amylene.
_The Vapour of Chloroform_ is more than four times as heavy as
atmospheric air. It has a specific gravity of 4·2 at 60° Fah. Under
ordinary circumstances, the vapour of chloroform has of course no
separate existence, but is always mixed with air. It can exist in a pure
state only when the temperature is raised to 140° or upwards; or when
the pressure of the atmosphere is in a great measure removed by the
air-pump. The quantity of vapour of chloroform that the air will hold in
solution at different temperatures, under the ordinary pressure of the
atmosphere, depends on the elastic force of the vapour at these
temperatures. It is governed by a law precisely analogous to that which
determines the amount of watery vapour which air will hold in solution.
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